Before the release of the new and revised CPR guideline, we are following the traditional A-B-C of CPR which stands for airway, breathing and circulation. Today, the American Heart Association advised the public that instead of following the obsolete A-B-C of CPR, the new acronym of C-A-B has been released. C-A-B stands for chest compression, airway and breathing.
But for those of us who don’t understand what clearing the airway really means, this might result into great confusion and never ending debate. According to AHA, not all bystanders are capable of immediately clearing the airway of the victim that usually results into a “time wasting moment” which is very unacceptable to save the life of the patient. Instead of taking so much time maneuvering the body to open the airway, chest compression should be started. To whichever way you believe is much more effective may it be the A-B-C or C-A-B, we cannot deny the fact that clearing the airway is indeed necessary to save the victim’s life.
Sudden Cardiac Arrest usually results into a great need of the body for oxygen; same reason can also be applied that’s why time is of the essence when it comes to CPR. Since the heart is damaged and failed to supply oxygenated blood on our body, alternative source of oxygen should be given to the victim. Our body cannot survive without oxygen most especially the brain which only takes 3-5 minutes before it can bring permanent damage or sometimes even death. Considering these vital reasons and more, clearing the airway should never be neglected on CPR aside from the infamous chest compression.
There are two ways which you can utilize to open the airway of the patient. First is the head tilt – chin lift maneuver and jaw thrust. You can do this by following the instructions below:
- Head tilt – chin lift maneuver – place one of your hands to the victim’s forehead and gently apply an upward firm back pressure to push the head back. Using the fingers of your other hand, place it under the bony part of the chin and lift it forward to open the airway.
- Jaw thrust – kneel down to the patient and grasp the angle of his lower jaw and lift it both up and away to temporarily displace it on the mandible thus opening the airway.
With the above ways of opening the airway, head tilt – chin lift maneuver is safer to perform than jaw thrust. Jaw thrust is more invasive and requires highly specialized skill for it to be performed correctly.
Most of the time, the tongue of the patient is being displaced backward following a Sudden Cardiac Arrest that usually results into a partial or complete blocking of the airway passage. This is the main reason why clearing the airway should be done FIRST before giving a ventilation. If you try to give ventilation without opening or clearing the airway, things will be useless. Note that there is a huge difference between opening the airway from ventilation, opening the airway means removing any obstruction from the airway passage (tongue on SCA) while ventilation means providing an alternative source of oxygen for the body such as mouth-to-mouth resuscitation.
Whether you will be following the traditional A-B-C of CPR or the new C-A-B, remember that clearing the airway is very important to make CPR successful and reliable. Doing chest compressions will only revitalize the heart but it doesn’t guarantee good supply of oxygen to the brain thus airway and breathing are both important to increase the survival rate of the victim.
The best answer to battle sudden cardiac arrest is to invest in an automated external defibrillator, or better known as an AED. These devices will monitor the heart rhythm and will provide a shock if necessary.








